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Global Employees Group Health Insurance

Group insurance for employees is an employee health insurance plan that provides international health coverage for mobile employees. With the concept of globalizations, many companies send their employees overseas for work. Because of which, these insurance plans were especially introduced for various multinational organizations who send their employees overseas and are looking for a comprehensive health insurance policies to protect their employees and their families.

Group Insurance for Employees - Quote Request Form

At visitorscoverage.com, we help corporation and businesses to assist with their health insurance need. Our expertise in international health insurance enables us to design and manage health insurance policies for global employees. Please fill out the following information in order to get quote for global employee insurance quote.

Company Information

Company Name *

City *

Zip *

Contact Person Name *

Telephone *

Nature Of Business *

Address *

State *

Country *

Email *

Fax *

Group Eligibility

Requested Effective Date *

Total number Of Employees Applying for Coverage *

Employee Occupation *

Managers

On-Site Workers

Clerical

Other

If other Please specify *

Does your group presently have domestic/international group coverage? *

Y

N

If yes, please provide details regarding the coverage. *

Required Coverage Area *

USA Only

International Including USA

International EXcluding USA

Are all the employees already present inUS? *

Y

N

If answer is NO, will they be travelling togather? *

Y

N

What is the total duration for the required coverage? *

Any Specific country/countries do the group require coverage for? *

PREFERRED MEDICAL COVERAGE

Maximum Limit /Person Option *

$500,000 Lifetime

$1000,0000 Lifetime

$5000,0000 Lifetime

Other

Individual deductible/person option *

$0

$150

$250

$500

$1000

$2500

Other

Preferred Co-insurance

Inside US/Canada Coverage - In Network *

80% of $5000

90% of $5000

Other

Inside US/Canada Coverage - Out of network *

60% of $5000

80% of $5000

Other

Do any Employee/Spouse require Maternity Coverage? *

Y

N

Do any Employee/Spouse require Vision and Dental Coverage? *

Y

N

Employee Census

List the number of Employee, Spouse and Dependant Child(ren). Initial Proposal will be based on the census. Final rates will be determined based on actual enrollment.

Age

Gender

Country of Residence

Employee

Employee + Spouse

Employee + Spouse + Dependent Child

14 days-18 yrs

MF

19-24 yrs

MF

25-29 yrs

MF

30-39 yrs

MF

40-49 yrs

MF

50-59 yrs

MF

60-69 yrs

MF

70+ yrs

MF

Any specific requirement for the desired coverage. (Please mention in the box below) *